THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 2011

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, D.C. 20510 

Dear Mr. President:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Grand Junction 

Operations Office, Grand Junction, Colorado to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on February 24, 2011. The Board considered 

the petition, and on March 30, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All employees of the Department of Energy, its predecessor 

agencies, and its contractors and subcontractors who worked at the 

Grand Junction Operations Office from March 23, 1943 through 

January 31, 1975, for a number of work days aggregating at least 250 

work days, occurring either solely under this employment or in 

combination with work days within the parameters established for 

one or more other classes of employees in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter. 

Sincerely,

[Signature on file] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 2011

The Honorable Harry Reid 

Majority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator Reid:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Grand Junction 

Operations Office, Grand Junction, Colorado to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on February 24, 2011. The Board considered 

the petition, and on March 30, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All employees of the Department of Energy, its predecessor 

agencies, and its contractors and subcontractors who worked at the 

Grand Junction Operations Office from March 23, 1943 through 

January 31, 1975, for a number of work days aggregating at least 250 

work days, occurring either solely under this employment or in 

combination with work days within the parameters established for 

one or more other classes of employees in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on file] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 2011

The Honorable Mitch McConnell 

Minority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator McConnell:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Grand Junction 

Operations Office, Grand Junction, Colorado to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on February 24, 2011. The Board considered 

the petition, and on March 30, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All employees of the Department of Energy, its predecessor 

agencies, and its contractors and subcontractors who worked at the 

Grand Junction Operations Office from March 23, 1943 through 

January 31, 1975, for a number of work days aggregating at least 250 

work days, occurring either solely under this employment or in 

combination with work days within the parameters established for 

one or more other classes of employees in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on file] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 2011

The Honorable John A. Boehner 

Speaker of the House of Representatives

Washington, D.C. 20515 

Dear Mister Speaker: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Grand Junction 

Operations Office, Grand Junction, Colorado to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on February 24, 2011. The Board considered 

the petition, and on March 30, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All employees of the Department of Energy, its predecessor 

agencies, and its contractors and subcontractors who worked at the 

Grand Junction Operations Office from March 23, 1943 through 

January 31, 1975, for a number of work days aggregating at least 250 

work days, occurring either solely under this employment or in 

combination with work days within the parameters established for 

one or more other classes of employees in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on file] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 29, 2011

The Honorable Nancy Pelosi

Minority Leader

House of Representatives

Washington, D.C. 20515 

Dear Representative Pelosi: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Grand Junction 

Operations Office, Grand Junction, Colorado to be added to the Special Exposure Cohort 

(SEC).

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on February 24, 2011. The Board considered 

the petition, and on March 30, 2011, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director 

of NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All employees of the Department of Energy, its predecessor 

agencies, and its contractors and subcontractors who worked at the 

Grand Junction Operations Office from March 23, 1943 through 

January 31, 1975, for a number of work days aggregating at least 250 

work days, occurring either solely under this employment or in 

combination with work days within the parameters established for 

one or more other classes of employees in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on file] 

Kathleen Sebelius

Secretary

Enclosure 
HHS Special Exposure Cohort Designation: Grand Junction Operations Office

Grand Junction, Colorado

 

HHS Designation of Additional Members of the 

Special Exposure Cohort 

under the 

Energy Employees Occupational Illness Compensation Program Act of 2000 

Designating a Class of Employees from 

Grand Junction Operations Office

Grand Junction, Colorado
HHS Special Exposure Cohort Designation:

Grand Junction Operations Office, Grand Junction, Colorado

Page 2

I. Designation 

I, Kathleen Sebelius, Secretary of Health and Human Services, designate the class 

of employees defined in Section II of this report for addition to the Special Exposure 

Cohort (SEC), as authorized under the Energy Employees Occupational Illness 

Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. § 7384q.

_____April 29, 2011____ __[Signature on file]__________

Date Kathleen Sebelius

II. Employee Class Definition

All employees of the Department of Energy, its predecessor agencies, and its 

contractors and subcontractors who worked at the Grand Junction Operations 

Office from March 23, 1943 through January 31, 1975, for a number of work days 

aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established 

for one or more other classes of employees in the SEC. 

III. Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 7384q, for the class defined in Section II of this report, the 

Secretary has determined, and the Advisory Board on Radiation and Worker Health 

(Board) has recommended, that

(1) it is not feasible to estimate with sufficient accuracy the radiation dose that the 

class received; and

(2) there is a reasonable likelihood that such radiation dose may have 

endangered the health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations 

to estimate the radiation dose that the class received with sufficient accuracy. First, 

the rule states that radiation doses may be estimated with sufficient accuracy if 

NIOSH has established that it has access to sufficient information to estimate the 

maximum radiation dose for every type of cancer for which radiation doses are 

reconstructed that could have been incurred under plausible circumstances by any 

member of the class. Alternatively, radiation doses may be estimated with sufficient 

accuracy if NIOSH has established that it has access to sufficient information to 

estimate the radiation doses of members of the class more precisely than a 

maximum dose estimate.

The Board, pursuant to 42 U.S.C. § 7384q, advised the Secretary to designate the 

class as an addition to the SEC in a letter received by the Secretary on March 30, 

2011. 
HHS Special Exposure Cohort Designation:

Grand Junction Operations Office, Grand Junction, Colorado

Page 3

IV. Designation Findings

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees 

covered by this report based upon the findings summarized below.

• NIOSH determined that members of the class evaluated may have received 

internal and external radiation exposures to natural uranium and its decay 

products during the processing and sampling of uranium ores and ore 

concentrates or during the subsequent resuspension of these materials. 

• NIOSH finds that it does not have access to sufficient personnel monitoring, 

workplace monitoring, or source term data to estimate unmonitored internal 

exposures for Grand Junction Operations Office workers during the period of 

uranium refining and sampling operations from March 23, 1943 through 

January 31, 1975. 

• In the absence of adequate personnel monitoring data, NIOSH has not found 

sufficient general area air sampling, breathing zone air sampling, site survey, 

or source term information to allow it to bound potential radon exposures, or 

to demonstrate that workers were adequately monitored for potential 

exposures to radon at the Grand Junction Operations Office during the period 

from March 23, 1943 through January 31, 1975. 

• NIOSH determined that, based on the lack of radon data for Grand Junction 

Operations Office workers during the refining, pilot plant, and sampling 

operations conducted during the period from March 23, 1943 through January 

31, 1975, internal dose reconstruction from all potential sources of exposure 

is not feasible. 

• NIOSH finds it does not have access to sufficient personnel monitoring, 

workplace monitoring, or source term data to estimate unmonitored external 

exposures for Grand Junction Operations Office workers during the period 

from March 23, 1943 through December 31, 1959. Consequently, NIOSH 

finds that it is not feasible to estimate, with sufficient accuracy, unmonitored 

external exposures and resulting doses for workers at the Grand Junction 

Operations Office during the period from March 23, 1943 through December 

31, 1959. 

• Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is 

insufficient information to either: (1) estimate the maximum radiation dose, for 

every type of cancer for which radiation doses are reconstructed, that could 

have been incurred under plausible circumstances by any member of the 

class; or (2) estimate the radiation doses of members of the class more 

precisely than a maximum dose estimate.
HHS Special Exposure Cohort Designation:

Grand Junction Operations Office, Grand Junction, Colorado

Page 4

• Although NIOSH found that it is not possible to completely reconstruct 

radiation doses for employees who worked at the Grand Junction Operations 

Office during the period from March 23, 1943 through January 31, 1975, 

NIOSH intends to use any reliable internal and external monitoring data that 

may become available for an individual claim (and that can be interpreted 

using existing NIOSH dose reconstruction processes or procedures). Dose 

reconstructions for individuals employed at the Grand Junction Operations 

Office during the period from March 23, 1943 through January 31, 1975, but 

who do not qualify for inclusion in the SEC, may be performed using these 

data as appropriate. 

• NIOSH finds that it is feasible to reconstruct occupational medical dose for 

Grand Junction Operations Office workers with sufficient accuracy by using 

claimant-favorable assumptions in the Technical Information Bulletin, Dose 

Reconstruction from Occupationally Related Diagnostic X-Ray Procedures

(ORAUT-OTIB-0006).

• The Board concurred with the NIOSH evaluation and recommended the 

proposed class for addition to the SEC.

 Health Endangerment

The Secretary established the health endangerment determination for the class of 

employees covered by this report based upon the findings summarized below.

(1) Pursuant to 42 C.F.R. § 83.13(c)(3), NIOSH established that there is a 

reasonable likelihood that such radiation doses may have endangered the 

health of members of the class. Pursuant to 42 C.F.R. § 83.13(c)(3)(ii), NIOSH 

specified a minimum duration of employment to satisfy this health 

endangerment criterion as “having been employed for a number of work days 

aggregating at least 250 work days within the parameters established for this 

class or in combination with work days within the parameters (excluding 

aggregate work day requirements) established for one or more other classes 

of employees in the Cohort.”

(2) NIOSH did not identify any evidence from the petitioners or from other 

resources that would establish that the class was exposed to radiation during 

a discrete incident likely to have involved exceptionally high-level exposures, 

such as a nuclear criticality incident, as defined under 42 C.F.R. § 

83.13(c)(3)(i). 

(3) The Board concurred with NIOSH’s finding that the health of the class may 

have been endangered and defined the class according to the 250-work day 

requirement specified under 42 C.F.R. § 83.13(c)(3)(ii). 
HHS Special Exposure Cohort Designation:

Grand Junction Operations Office, Grand Junction, Colorado

Page 5

V. Effect and Effective Date of Designation

The Secretary submits this report on the designation of one additional class to the 

SEC for review by Congress, pursuant to 42 U.S.C. §§ 7384l(14)(C)(ii) and 

7384q(c)(2)(A), as amended by the Ronald W. Reagan National Defense 

Authorization Act for Fiscal Year 2005, Pub. L. No. 108-375 (codified as amended in 

scattered sections of 42 U.S.C.). Pursuant to 42 U.S.C. § 7384l(14)(C)(ii), as 

amended by the Ronald W. Reagan National Defense Authorization Act for Fiscal 

Year 2005, Pub. L. No. 108-375 (codified as amended in scattered sections of 42 

U.S.C.), the designation in this report will become effective 30 days after the date of 

this report’s submission to Congress “unless Congress otherwise provides.”

VI. Administrative Review of Designation

The health endangerment determination of the designation provided in this report 

may be subject to an administrative review within HHS, pursuant to 42 C.F.R. § 

83.18(a). On the basis of such a review, if the Secretary decides to expand the class 

of employees covered by this designation, the Secretary would transmit a 

supplementary report to Congress providing the expanded employee class definition 

and the criteria and findings on which the decision was based.